Provider Demographics
NPI:1306487533
Name:DINGER, EMILY C
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:C
Last Name:DINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:C
Other - Last Name:WOODS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:369 PECONIC ST
Mailing Address - Street 2:
Mailing Address - City:RONKONKOMA
Mailing Address - State:NY
Mailing Address - Zip Code:11779-6914
Mailing Address - Country:US
Mailing Address - Phone:631-835-6387
Mailing Address - Fax:
Practice Address - Street 1:369 PECONIC ST
Practice Address - Street 2:
Practice Address - City:RONKONKOMA
Practice Address - State:NY
Practice Address - Zip Code:11779-6914
Practice Address - Country:US
Practice Address - Phone:631-835-6387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-29
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty